Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Metoprolol tartrate (Lopressor) and prazosin (Minipress) are both used to manage high blood pressure, but they belong to different medication classes and have distinct uses and side effects. Metoprolol is a beta blocker that also treats chest pain and lowers the risk of death after a heart attack. It works by slowing down the heart, which reduces pressure on blood vessels and the heart's oxygen demand. Prazosin, on the other hand, is an alpha blocker that relaxes blood vessels to improve blood flow. While metoprolol is typically taken twice daily with food, prazosin is taken 2 to 3 times a day and can be taken with or without food. Common side effects of metoprolol include tiredness and dizziness, whereas prazosin often causes dizziness, headache, and drowsiness. Additionally, prazosin is sometimes used off-label for PTSD-related nightmares, though its effectiveness for this use is debated. Both medications are available in generic forms, making them more affordable options.
Metoprolol tartrate (Lopressor)
Prazosin (Minipress)
Metoprolol tartrate (Lopressor)
Prazosin (Minipress)
Summary of Lopressor vs. Prazosin
Summary for Beta blocker
Prescription only
Metoprolol tartrate (Lopressor) is used to treat chest pain and high blood pressure. It's also used to lower the risk of death after a heart attack. This medication is taken by mouth, typically twice daily, though your dosage depends on what condition you have. Some side effects of metoprolol tartrate (Lopressor) include dizziness or tiredness. Metoprolol tartrate (Lopressor) is available as a brand name and generic tablet.
Summary for Alpha blocker
Prescription only
Prazosin (Minipress) is an alpha blocker that's used to lower high blood pressure. It works by relaxing your blood vessels, so blood flows through more easily. Prazosin (Minipress) is taken by mouth, typically 2 to 3 times a day. But it isn't a first-choice medication to lower blood pressure because it can cause bothersome side effects like dizziness, headache, and sleepiness.